Effect of Rhythmic Upper-limb Training in Stroke Patients

Recruiting

Trial Description

The purpose of this study is to determine whether rhythmic upper-limb movement training in post-stroke patients allows to improve only this particular type of movements or if it also improves some parameters of discrete movements. Based on our results we hope to be able to answer a fundamental question: are rhythmic and discrete movements two independent primitives?

Description: Patients undergo a first evaluation, and a second evaluation one month later to determine their natural evolution. The following month, patients get 12 sessions of rhythmic therapy. A third evaluation is organized straight after this month and a fourth evaluation, 3 months after to assess the after-effects of the therapy.

Evaluation of the after effects of the rhythmic therapy, three months follow-up

ARM 1:

Kind: Experimental

Label: Stroke patients

Description: Patients undergo a first evaluation, and a second evaluation one month later to determine their natural evolution. The following month, patients get 12 sessions of rhythmic therapy. A third evaluation is organized straight after this month and a fourth evaluation, 3 months after to assess the after-effects of the therapy.

Trial Design

Masking: Single Blind (Outcomes Assessor)

Purpose: Treatment

Intervention: Crossover Assignment

Outcomes

Type

Measure

Time Frame

Safety Issue

Primary

Change in movement smoothness in rhythmic straight movements after one month of rhythmic therapy

1 week to 1 day before therapy and 1 day to 1 week after therapy

No

Primary

Change in movement smoothness in discrete straight movements after one month of rhythmic therapy

1 week to 1 day before therapy and 1 day to 1 week after therapy

No

Primary

Change in accuracy of discrete straight movements after one month of rhythmic therapy

1 week to 1 day before therapy and 1 day to 1 week after therapy

No

Primary

Change in smoothness of rhythmic circular movement after rhythmic therapy

1 day to 1 week before therapy and 1day to 1 week after therapy

No

Secondary

Change of the general motricity of the patient due to one month rhythmic therapy

Professionals

Education

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This project is supported in part by the NIH Specialized Programs of Translational Research in Acute Stroke (SPOTRIAS) Network, and NINDS grant 3P50NS055977 to Washington University in St. Louis School of Medicine and UT Southwestern Medical Center.